Provider Demographics
NPI:1598892770
Name:LIN-ROS BEST HOME CARE NO 2
Entity Type:Organization
Organization Name:LIN-ROS BEST HOME CARE NO 2
Other - Org Name:MVM HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OMRP/LICENSEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSENDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS CHEMISTRY
Authorized Official - Phone:562-556-4963
Mailing Address - Street 1:607 E 228TH ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-4907
Mailing Address - Country:US
Mailing Address - Phone:310-522-0125
Mailing Address - Fax:310-835-2403
Practice Address - Street 1:607 E 228TH STREET
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745
Practice Address - Country:US
Practice Address - Phone:310-522-0125
Practice Address - Fax:310-518-5005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIN-ROS BEST HOME CARE NO 2
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-27
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA960001035320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities